Classification of health structural indicators using scalogram model in golestan province, Northern Iran

One of the main and basic pillars of health system promotion is the equitable distribution of health facilities in order to ensure fair access of people in the community to the health services. The goal of this study was to classify the health structural indicators in Golestan Province using Scalogram analysis model. A descriptive study was conducted in 2010. Data related to indicators in 3 categories of institutional, human resources and rural health and their indicators were collected using statistical yearbook. Data analysis was done using SPSS software and scalogram analysis model. There is large gap between health structural indicators in cities of Golestan Province. Aq Qala City with 97 score and Azad Shahr City with 41 score were the most and lowest scores respectively from enjoyment of health structural indicators. Generally, 18% of cities were in less developed level and only 27% of cities were developed level. To achieve a fair and balanced healthcare status in different provinces based on their state of development, plans should be arranged in order to reduce the gap in the access to healthcare facilities

[Hospitals preparedness for HEICS establishment in Isfahan University of Medical Sciences]

Using an effective management system can minimize negative effects of emergency incidents in hospitals and achieve maximum efficiency with using minimum of facilities and human resources. Hospital Emergency Incident Command System [HEICS] is one of the most reliable emergency incident command system for preparing and increasing the hospitals efficiency. The aim of this study is to identify the hospitals preparedness in order to establish HEICS in Isfahan University of medical sciences. In this qualitative research, some senior managers of Isfahan University of medical sciences and key informants in emergency incidents management were selected and surveyed by in depth interview in 2008. The data was collected by using nonrandom purposeful sampling, semi-structured interview and also snowball method, and then it was analyzed by Klizy method. The findings were classified into two general categories including barriers [internal and external] of HEICS establishment and also adopting short, mid and long term strategies. Regarding barriers in establishment of HEICS, it is recommended that the authorities take measures in different levels of health and care system to implement as soon as possible by encouraging and supporting systems